1980, 08-20 Permit: 80-8845 FurnacePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3
4.
JOB ADD EI4M„
LOT
BLOCK
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
5. ADDRESS
zI4'39a 06
PyoNE
ZIC+q `j;
PHONE
PARCEL NUMBER/S
g.
Actual Set Backs in Feet
North (South
Size of Parcel
Type Const.
Valuation
Occupancy
East
'West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
ZI P
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
�L6Cr
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
❑ BLD.
"ALT. ❑ AD'N. 0 RPL. ❑ MVE.
0 PLMB.
(>t7 MECH. ❑ M.H. ❑ POOL
D S RIBE WORK
8.
. 1,
❑ OTHER
AL Timms-:
i/ V c 1
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
Enum. Dist.
ILocation (Area)
9.
VALUATIIN SbURCE
OF
UTILITIES
GAS
J�S
ELECTRIC
�L�E C T RI C1 }
WATER
SEWER
Ownership
Public ❑ Private ❑
USE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION �!t/ ' O C) SIGNATURE OF APPLICANT r'%/`"�'
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buildin Tec ician
SPEC L CONDIT! NS: /' "-_'V
COT
441-1K-
C
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $47o0
M
PERMIT NUMBER
04* *7.00
*7.00 N
*7,006
E *0.00 0
88/L4z
08-20-80
z 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
08c-214‘40
DATE ISSUED
8845
PERMIT NO.
*1.00x1
TOTAL